Iyo hepatitis B kuongororwa ropa kunoungana pamwe chete inozivikanwa se serologic panel. Izvi zvigadziriro zvinogona kunyatsoziva kuti ikozvino uye yakapfuura chirwere chekushaya hepatitis B. Sezvo kune nhamba yezvikwangwani uye zvishoma nezvitanhatu kududzirwa kwemigumisiro yakasiyana-siyana, kusarudza zvinorehwa zvingave zvakaoma. Kuti ubatsirwe kujekesa, heino tsanangudzo nhanhatu dzakarongeka mu tafura kubva kune vane zviratidzo zvehupatitis B:
Miedzo muHepatitis B Serologic Panel
- HBsAg (hepatitis B surface antigen): Uyu ipuroteni inowanikwa pamusoro pehutachiona hweH hepatitis B, chikamu chetachiona pachayo. Apo pavanowana kuwanda kwakanyanya muropa renyu, zvinoratidza kuti une chirwere chehutachiona hweH hepatitis B, icho chingave chisingagumi kana chakanyanya. Izvi zvinoita kuti muviri wako usapinde mumuviri wako, uye kana zvirwere zvako zvemagunha zvichiita zvakanaka iwe uchakurumidza kubudisa maitiro ekurwisa-HBs antibody. Chirwere chehepatitis B chinoshandisa iyi antigen kuti iite hutachiona hwehutachiona.
- anti-HBs (inonziwo HBsAb, hepatitis B pamusoro penyika inorasikirwa): Mumuviri wako unobereka uyu anorifuta apo inoratidzwa neHBsAg, ingave yakabatwa ne hepatitis B kana kuti inokurudzirwa nechirwere che hepatitis B. Icho chiratidzo chokuti uri kupora kubva kuhutachiona hweH hepatitis B kana kuti wakave nemhinduro yakanaka iyo chirwere uye unofanirwa kuchengetedzwa kubva kune utachiona.
- anti-HBc (inonziwo HBcAb, hepatitis B-core antibody): Muviri wako unotanga iyi anti-antibody inopindura kuvapo kwehutachiona hweH hepatitis B panguva iyo iwe unoratidza zviratidzo zvehutachiona hwehutachiona. Kana ukangozvigadzira, iwe kazhinji ucharamba uchiita hupenyu hwako hwose uye saka kuongorora kwako kweropa kuchagara kwakanaka kune anti-HBc. Zvinoratidza kuti une utachiona kana kuti iwe wakanga uine imwe munguva yakapfuura, asi haitauri chiremba wako izvo zviri izvo.
- IgM HBcAb (kana IgM anti-HBc) inopupurira humwe hutachiona hwehutachiona hunoshandiswa nehutachiona hwemuviri wako munguva kana kuti pashure pekushaya chirwere chekushaya hepatitis B. Chiyero chakanaka chinowanzoratidza chirwere chakaoma kana chazvino. Anoripu inoderedzwa zvikuru kana inopera mushure mokunge utachiona hwagadziriswa.
Kana iwe unofadza kana usingawaniki nechirwere chehepatitis B, zvinoita kuti iwe uparadzire utachiona kune vamwe. Tevera kudzivirira kwakakwana uye ita nechokwadi chekuzvidzivirira iwe nevamwe panguva yekubatana pabonde.
Tsanangudzo Dzitanhatu dzeHepatitis B Serologic Panel
| Marker | Mhinduro |
| # 1 Kana miedzo yako iri: | |
| HBsAg | Negative |
| anti-HBc | Negative |
| anti-HBs | Negative |
| Iwe unogona kutapukirwa nechirwere chehepatitis B. Kana iwe uchikodzera kuvhara hepatitis B, iwe unogona kuwana vachakedzwa kuderedza dambudziko rako rekurwara mune ramangwana. | |
| # 2 Kana miedzo yako iri: | |
| HBsAg | Negative |
| anti-HBc | Zvakanaka |
| anti-HBs | Zvakanaka |
| Iwe unogona kunge uine immune nekuda kwehutachiona hwehutachiona. Iwe hauna viral antigen inotenderera, asi iwe uri kuratidza zvose zvirwere. Iyo inonzi anti-core munhu inoratidza kuti izvi zvakakonzerwa nehutachiwana panzvimbo yekupora. Kazhinji vanhu vanoshamiswa kuziva kuti vaiva nehutachiwana munguva yakapfuura, sezvakawanda zviitiko zvine zviratidzo zvishoma. | |
| # 3 Kana miedzo yako iri: | |
| HBsAg | Negative |
| anti-HBc | Negative |
| anti-HBs | Zvakanaka |
| Iwe unogona kunge uine immune nekuda kwekuvhara hepatitis B. Kazhinji ichi ndicho chikonzero chinowanikwa mukutevera shure kwekudzivirira uye iyo yakanaka. Kana iwe usina kuporwa, ndicho chinhu chiremba wako achaongororazve. | |
| # 4 Kana miedzo yako iri: | |
| HBsAg | Zvakanaka |
| anti-HBc | Zvakanaka |
| IgM anti-HBc | Zvakanaka |
| anti-HBs | Negative |
| Iwe unogona kunge une HIV. Kuvapo kweIgM anti-HBc, pamwe neHBsAg, kunoratidza kuti kune hutachiona huchifamba mumuviri wako uye uri kubudisa kutanga kweiyo. Izvi hazvizove zvakadaro nemutachiona husingaperi kana utachiona huripo munguva yakapfuura kuti wakadzoka kubva. | |
| # 5 Kana miedzo yako iri: | |
| HBsAg | Zvakanaka |
| anti-HBc | Zvakanaka |
| IgM anti-HBc | Negative |
| anti-HBs | Negative |
| Iwe unogona kunge uine hutachiwana . Iwe uri kuramba uchiita hutachiona hwemukati uye iwe une hutachiona hunopararira, asi yako yekutanga IgM antibody yapera. | |
| # 6 Kana miedzo yako iri: | |
| HBsAg | Negative |
| anti-HBc | Zvakanaka |
| anti-HBs | Negative |
| Nechigumisiro ichi, zvinogona kuva zvinhu zvakasiyana, izvo zvinowanzoitika ndezvokuti iwe une chirwere chetachipatara B chakagadzirisa kana kugadzirisa. Iwe haufaniri kunge uri mumukana wakaoma wehutachiona. Iwe unogona kunge uine kuedza-kwenhema kuedza kwemukati wekare. Iwe hausi kurwara ne hepatitis B, saka unofanirwa kutarisira nehuwandu hwehutachiona uye iwe unofanirwa kukurukura kana chirwere chinorayirwa. Iwe unogonawo kuva nehutachiwana hwehutachiona hutachiona hweHepatitis B. | |
Sources:
Nzvimbo dzeDaase Control uye Kudzivirira. Viral Hepatitis B Kuedza uye Kurapa Utano Hwevanhu.
Tsanangudzo yeHepatitis B Serologic Test Results, Center for Disease Control and Prevention, Division of Viral Hepatitis.